| NPI | 1760989859 |
|---|---|
| Former Name | ERICA LEIGH CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: WY PA853) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55430) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2022-10-26 |